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General NPI Number Information
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NPI Number | 1003679796
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Entity Type | Organization
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Legal Business Name | EMERYCHAPABHI LLC
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2222 W PARKSIDE LN STE 114
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City | PHOENIX
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State | AZ
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Zip | 85027-1260
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Country | US
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Telephone | 602-997-7041
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Fax | 602-997-7126
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Provider Business Mailing Address
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Address Line | 3701 BASTROP ST
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City | MELISSA
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State | TX
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Zip | 75454-1401
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Country | US
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Telephone | 469-634-6668
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMERY JUSTINE CHAPA
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Credential |
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Telephone | 469-634-6668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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